Technique and method

Closing coronary artery fistula by Amplatzer Duct Occluder Ⅱ

  • WANG Jian ,
  • CHEN Sun ,
  • SUN Kun ,
  • et al
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  • Department of Pediatric Cardiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China

Online published: 2014-12-30

Supported by

National Natural Science Foundation of China,30772349,81070134; Joint Health Research Program for Major Disease of Shanghai Municipal Health Bureau,2013ZYJB0016;Medical Cooperation Project of Science and Technology Commission of Shanghai Municipality,12JC1406600

Abstract

Objective To introduce the experience of using Amplatzer Duct Occluder Ⅱ (ADO Ⅱ) for closing coronary artery fistula and to analyze its efficacy and safety. Methods Clinical data of patients whose coronary artery fistulas were closed by ADO Ⅱ between September 2011 and October 2013 were collected. The retrospective analysis was conducted according to operation and short-term follow-up outcomes. Results The average age of 5 patients was 3.8 years. Among 4 cases of right coronary-right ventricular fistulas, 3 cases used 4 mm×6 mm ADO Ⅱ and 5F delivery sheath, while the other case used 4 mm×4 mm ADO Ⅱ and 4F delivery sheath. One case of left coronary-right ventricular fistula used 4 mm×6 mm ADO Ⅱ and 5F delivery sheath. Intraoperative angiography and postoperative echocardiography showed no residual shunt and the results of electrocardiogram were normal the next day after operations. The average follow-up time was 16 months and no complications were found. Conclusion The delivery sheath of ADO Ⅱ is small and soft, which facilitates for approaching the fistula and efficiently closing the coronary artery fistula.

Cite this article

WANG Jian , CHEN Sun , SUN Kun , et al . Closing coronary artery fistula by Amplatzer Duct Occluder Ⅱ[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2014 , 34(12) : 1851 . DOI: 11.3969/j.issn.1674-8115.2014.12.029

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